Do the rules for care differ per municipality?

The municipality supports people who take care of a loved one and people who suffer from a long-term illness themselves. Since 2015, the municipality determines whether, and for what kind of care you qualify. The care being provided can differ per municipality. In this article you will learn more about the differences in rules for care among municipalities.

Do different rules for care apply in different municipalities?

No, the rules for care are basically the same in every municipality. Even so, there certainly are differences per municipality.
For instance, municipality A might have room for youth healthcare treatment, but municipality B has a two year waiting period. Also, municipality A might offer different compensation for caregivers than municipality B.

Since 2015 the responsibility no longer lies with the government, but with the municipality in which you live.
As a result, differences in the provision of care have arisen.

Know your rights

The health care support that you as a citizen are entitled to, is recorded in the Social Support Act (Wmo). This act provides security of law with the objective of protecting you against possible arbitrariness of municipalities.
If you need support, you make an appointment with the municipality. Initially your personal situation will be evaluated. Then the local government will engage in a conversation with you and your prospective caregiver. You may request a client support person for this conversation, who will help you prepare for the meeting.

Two things will be looked at during this conversation: whether you are able to participate in society and whether you are capable of sufficiently performing common daily activities independently. If that is not the case, the municipality will investigate whether you can receive support from your own social network. Then the municipality assesses whether standard provisions offer sufficient support for you. If it turns out you can’t manage, in spite of support of people around you or the standard provisions, then you are entitled to ‘customized provisions’.

General provisions

General provisions are services or provisions for every citizen. For example, think of a shopping service, a meal service or an organized ‘get together for morning coffee’ at the local community center.

Customized provisions

A customized provision is a service or provision that is tailored to your specific needs. These can be adjustments or renovations in your home or specialized daytime activities for a person with disabilities.

A complaint or objection

The municipality is obliged to offer you a customized provision. It is possible that you
deem the given customized provision to be insufficient. In that case you can file an objection with your municipality.
If no agreement is reached, you can take it to court. Since 2015, a number of people have already filed a lawsuit against their municipality. For example, because they didn’t find the provided customized provision suitable or because other municipalities offered different, better customized provisions. The judge looks at each case individually and then reaches a verdict. Sometimes these verdicts have consequences for all Dutch municipalities, and that particular customized provision then needs to be adjusted collectively.

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